James was appointed as Executive Director of Human Resources and Organisational Development (HR & OD) in October 2016 and in November 2017, James was appointed to the post of Deputy Chief Executive retaining executive oversight of the HR, OD and improvement agenda. James returned to Medway having started his career there as an apprentice in 1996; He joined the Trust from Great Ormond Street Hospital for Children where he held the position of Deputy Director of HR & OD.